<%@include file="validarSession.jsp" %>
<%@include file="cabecera.jsp" %>

<div id="divFoto"><img src="images/foto-cabecera.jpg" /><h1>Inscripción de Administrador</h1></div>
<div class="clear"></div>
<form id="form1" name="form1" method="post" action="">
  <table border="0" cellpadding="5" cellspacing="0">
    <tr>
      <td>Nombre</td>
      <td><input type="text" name="textfield" id="textfield" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Apellido Paterno</td>
      <td><input type="text" name="textfield2" id="textfield2" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Apellido Materno</td>
      <td><input type="text" name="textfield3" id="textfield3" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>DNI</td>
      <td><input type="text" name="textfield4" id="textfield4" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Fecha de Nacimiento</td>
      <td><input type="text" name="textfield5" id="textfield5" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Teléfono</td>
      <td><input type="text" name="textfield6" id="textfield6" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Estado Civil</td>
      <td><select name="select" id="select">
        <option>Soltero</option>
        <option>Casado</option>
        <option>Divorciado</option>
        <option>Viudo</option>
      </select>      </td>
    </tr>
    <tr>
      <td>Correo</td>
      <td><input type="text" name="textfield7" id="textfield7" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Clave</td>
      <td><input type="text" name="textfield8" id="textfield8" style="width:250px;" /></td>
    </tr>
    <tr>
      <td>Estado</td>
      <td><input type="radio" name="radio" id="radio" value="radio" />
        Activo
          <input type="radio" name="radio" id="radio2" value="radio" /> 
          Inactivo</td>
    </tr>
    <tr>
      <td>Inicio Labor</td>
      <td><select name="select5" id="select4">
        <option>Dia</option>
        <option>01</option>
        <option>02</option>
        <option>03</option>
        <option>04</option>
      </select>
      <select name="select4" id="select5">
            <option>Mes</option>
            <option>01</option>
            <option>02</option>
            <option>03</option>
            <option>04</option>
          </select>
          <select name="select4" id="select6">
            <option>Año</option>
            <option>2011</option>
        </select></td>
    </tr>
    <tr>
      <td>Fin Labor</td>
      <td><select name="select5" id="select4">
          <option>Dia</option>
          <option>01</option>
          <option>02</option>
          <option>03</option>
          <option>04</option>
        </select>
          <select name="select5" id="select4">
            <option>Mes</option>
            <option>01</option>
            <option>02</option>
            <option>03</option>
            <option>04</option>
          </select>
          <select name="select5" id="select7">
            <option>Año</option>
            <option>2011</option>
        </select></td>
    </tr>
    <tr>
      <td>Observación</td>
      <td><textarea name="textarea" id="textarea" cols="45" rows="5"></textarea></td>
    </tr>
    
    <tr>
      <td>&nbsp;</td>
      <td><label>
        <input type="button" name="button" id="button" value="Inscribir" />
        <input type="reset" name="button2" id="button2" value="Limpiar" />
      </label></td>
    </tr>
  </table>
</form><div align="right"><a href="menu.html">&lt;&lt; Regresar </a></div>

<%@include file="pie.jsp" %>
